Individual
EMILY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
10775 MCKINLEY HWY STE C, OSCEOLA, IN 46561-9164
(574) 334-7294
Mailing address
10775 MCKINLEY HWY STE C, OSCEOLA, IN 46561-9164
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-303491
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-303491
INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
IN
Enumeration date
09/10/2021
Last updated
08/05/2024
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